Showing posts with label mass murder. Show all posts
Showing posts with label mass murder. Show all posts
Saturday, December 15, 2012
What the Connecticut Shootings are Really About
The details of yesterday's shootings in Newtown, Connecticut were just starting to trickle in when my Facebook feed began to light up with posts from friends saying what they thought this story was really about. These sorted fairly clearly into a number of categories:
- It's really about the need for gun control.
- It's really about the need to allow responsible people to carry weapons to protect themselves and those around them.
- It's really about the state of mental health care.
- It's really about the need to be better parents to our kids.
- It's really about what we have become as a society.
While each of these thoughts have their own argument behind them, and while I certainly have my opinions about the relative validity of those, I'd like to suggest that all of them are red herrings.
All of these theories help us (or at least those who believe them) feel better, because they all boil down to one message: this could have been prevented. And we desperately need to believe this could have been prevented, because otherwise this could happen again, and it could happen to us. If these theories are right, however, we can make the world safe and neat again, and sleep better at night.
In addition, we are drawn to stating what this story is "really about" because, frankly, we can't stand to really contemplate what this story is really about.
What this story is really about is that 27 people, 20 of them young children, were brutally murdered in a senseless act of violence that we will never truly understand.
We need to let ourselves sit with that reality and feel the feelings that go with it. Only then will we be ready to have reasonable discussions about what, if anything, can be done to stop it from happening again.
Friday, December 14, 2012
Updated: What I'm Telling My Kid About the Connecticut Shootings
| Photo courtesy Reuters. |
I am a mental health professional, a former principal and teacher, and an expert in responding to school traumas. But today, more than anything, I am a mom. Like moms and dads and other human beings today, my feelings about the shootings in Connecticut are complex and painful.
I came home tonight wanting to hug my child, and struggling with what to say. I offer my words here (followed by some description of how he responded and why I said what I did) not because they are the only or even the best way to approach this horrible incident with children, but because they are a way, and we have to start somewhere.
Here's what I said:
I need to tell you about something that happened today. It's kind of scary, but I think you're probably going to hear about it so I wanted to tell you so you can understand it and ask questions if you want.
Today something really scary happened in a school in Connecticut. There was a teacher there, I think she taught 1st grade, and she had a grownup son who had a very bad sickness in his brain. His brain was making him think very weird things. And he decided he wanted to kill his mom. But unfortunately, when he went to kill his mom, he went to her classroom where she was teaching, and after he killed her he also killed a bunch of the kids. It was very sad and everybody is talking about it and very sad and scared.Every kid and every parent is different, and every conversation like this happens in a specific context. In our case, my son is 7 years old. He and I have had very recent conversations about mental illness in the context of the work I do as a clinician in Community Mental Health, and the terminology "sickness in the brain" is how we've described that. Another kid might need a different or more thorough explanation.
Of course, my son did have a few things to say:
- Where's Connecticut?
- Was the sickness like a concussion, or like people who don't know what day it is or think things are true that aren't?
- I don't want to talk about it.
So, why did I choose these particular things to tell my son? There is method to my madness:
I need to tell you about something that happened today. It's kind of scary, but I think you're probably going to hear about it so I wanted to tell you so you can understand it and ask questions if you want.
Kids need to know it's OK to be scared, and that you can be scared and still function and be in control. As adults, we model this and open the door to talk about emotions. Also, this opener tells him that his understanding and processing is important, in general and to me.
There was a teacher there, I think she taught 1st grade, and she had a grownup son who had a very bad sickness in his brain. His brain was making him think very weird things. And he decided he wanted to kill his mom.
This begins to point out how unusual and out of the ordinary this incident is. Kids don't know, as adults do, that this kind of violence is rare. But they do have a sense that a very bad brain disease and thinking weird things is rare. Also, the focus in this description is not on the children as targets. By giving the shootings some background and context, my son is less likely to think of this and think, "the bad guys are coming for me."
It was very sad and everybody is talking about it and very sad and scared.
Here, again, the door is open to the idea that everyone -- not just kids -- has feelings about things like this. Scared and sad are OK, as is talking about it. Telling him about this is not specifically to make him talk or to make him scared, but to include him. He is important.
I don't know what questions or comments my son will make in the days and weeks ahead. I know if he has something to say, he'll say it. We talk about these things at my house. Hard as it is, that's how it should be.
More guidance on talking to children about violence and trauma is available here.
Update: Since I wrote this yesterday, we have learned that the shooter's mother died before the shootings at the school, and was not a current teacher. My son hasn't asked about the details today, so I haven't had occasion to correct what I said yesterday, and I'm not going to unless he brings the topic up. If I had it to do over again, I would still say largely the same things, except adding that after he killed his mom, he went to the school where he used to go when he was little to kill people. Note that I would not say he went to kill kids. We don't know that, first of all, and second of all it adds an emphasis that is unnecessarily scary.
Wednesday, April 25, 2012
Is the Norway Shooter Sane . . . and Does it Matter?
For the last six days, the man responsible for the bombing and mass shooting that killed 77 people in Norway last July has been testifying at his trial. He admits that he was the person who carried out the attacks -- there is no question or controversy about that. This trial is being held to determine whether what he did was a crime and, if so, whether he was sane at the time he committed it.
The shooter's view is that this was not a crime. He has an elaborate and fairly paranoid political ideology which, he believes, justifies the attacks as part of a war against Muslims and multiculturalism. Since he was defending his people, he claims, this was not a crime. As far as I can tell, no one expects this argument to win the case.
The question of whether he is -- or was at the time of the attack -- sane is somewhat more complicated. There are two psychiatric reports in play. One says that the shooter has paranoid schizophrenia and was unaware of reality when he committed the crime. The other says that he is a narcissist, but he knew what he was doing and is responsible for his actions. The shooter, for his part, says he is sane.
This case points out some of the big problems with legal discussions of sanity. "Insanity" is a legal term, not a medical or psychiatric one. There are millions of people in the world at this very moment who have a disorder that is listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM) right along with paranoid schizophrenia, and they are legally sane. That is, they know right from wrong and can appreciate the consequences of their actions. In fact, there are millions of legally sane people with paranoid schizophrenia.
In fact, one of the mental disorders listed in the DSM is narcissistic personality disorder. In other words, both psychiatrists who have evaluated this man think he has a disorder. What they disagree about is which one, what type (personality disorders are considered to be in a different group or "Axis" from other mental disorders) and whether it impacted his ability to know right from wrong. (In another high profile case, the man who kidnapped and repeatedly raped Elizabeth Smart was found legally sane in part on the basis of a report that said he had narcissistic personality disorder as well.)
On an intuitive level, most of us have a sense that you can't be all there and do what this man did. You'd have to be "sick" or "crazy." But those aren't medical terms either. And obviously your view of right and wrong has to be pretty messed up to think this is OK. But most people who commit murder are legally sane, and most legally insane people don't commit murder.
Where is the line between wrong or bad or evil and insane? Where do messed up values and priorities cross the line into not responsible for your actions? I think that's a question that doesn't have an answer. We have legal standards, and we hope we'll know the difference when we see it.
In my next post, I'll take a look at the impact of the trial on the families of those who died. Stay tuned.
Topics:
kidnapping,
mass murder,
mental illness,
murder,
Norway,
sanity,
terrorism,
trial
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comments
Saturday, January 22, 2011
The Enduring Lesson of Keith Olbermann
Depending on your politics and personal tastes, Keith Olbermann is a liberal pundit, a newsman, an overhyped sports reporter, a propagandist, the voice of the nation's conscience, or a traitor to his country. Last evening, he added one title most can agree on -- unemployed. Olbermann, the host of MSNBC's Countdown With Keith Olbermann
Olbermann had a decidedly and unashamedly liberal bent to his show. He openly loathed Fox News, which he called "faux news," and particularly Bill O'Reilly
Even if you loved Olbermann's politics, there was plenty to squirm about in Olbermann's style. He often used the same kind of "anyone who disagrees with me is an idiot" kind of rhetoric that he criticized in O'Reilly. His segments with guest commentators often fit the formula:
- Introduce story by stating the facts intertwined with Olbermann's opinion
- Introduce guest
- Ask guest whether Olbermann's opinion is the only reasonable one, as he thinks
- In unlikely event guest disagrees, restate opinion as fact and wait for response
I'm writing about Keith Olbermann today, however, not because of my personal feelings about him leaving MSNBC or even about the show itself. Keith Olbermann deserves a nod because of something absolutely unheard of which he did, on air, with great frequency. Keith Olbermann apologized.
When you are as unabashedly partisan and fiery as Olbermann is, you wind up saying a lot of things that make people mad. And certainly, Olbermann stood behind the majority of what he had to say nonetheless. But every once in a while, Keith Olbermann had the good sense and the good grace to admit when he was wrong. A terrific example occurred after Olbermann raised questions and spoke, in a way that some felt was offensive, about the rape accusations against Wikileaks
Rape has touched my family, directly and savagely, and if anybody thinks I have addressed it without full sensitivity, then that assessment is the one that counts, and I apologize.Read that again, because you won't hear apologies
Most recently, Olbermann delivered a passionate and, in my opinion, moving commentary the night of the shootings in Tucson on January 9th. He discussed the current political climate but, unlike many other liberal commentators, he didn't put the blame on the right. He said,
Violence, or the threat of violence, has no place in our Democracy, and I apologize for and repudiate any act or any thing in my past that may have even inadvertently encouraged violence. Because for whatever else each of us may be, we all are Americans.So, why am I bringing this up on a blog about trauma and crisis response? Because very often, after a major incident, the impulse of those in charge is to circle the wagons and vehemently deny any responsibility. The result is that those affected, who are primed to be looking for someone to blame, have a reason to step up their blame of those in charge. Few and far between are people in authority willing to say, "This shouldn't have happened, we didn't want for it to happen either, and we will be carefully reviewing everything to make sure it doesn't happen again," let alone, "We screwed up, and while we don't think this is entirely our fault, we are willing to take some of the blame. We're sorry."
It's always easier to blame those who are upset then to take a good long look at yourself. Failure to do so, however, often makes it worse. Whatever you think of Keith Olbermann, his show, or his politics, I hope that, with his departure, we don't also lose his excellent example of how to apologize gracefully and sincerely for the mistakes we all make in this world.
Saturday, January 15, 2011
Searching for a Cause in Tucson
The week since the attempted assassination of Congresswoman Gabrielle Giffords, which killed six people and injured an 12 in addition to Giffords, has been full of discussion about our political discourse. On one side, we have people pointing to the fact that Sarah Palin
What both sides have in common is the very human trait of seeking a reason for a traumatic incident. Studies have shown that humans are hard-wired to see patterns and causation, and if there isn't any we tend to see it anyway. From an evolutionary standpoint, this makes a lot of sense. In order to survive in the wild, animals need to have very good and detailed information about what a threat looks like, how to know when it's coming, and how to avoid it. Understanding that something can't be avoided is not very helpful. So if there is any chance at all that there is a pattern, we will find it, but we're not great at knowing if there isn't one.
If you ask me (and you did, because you're reading my blog), the choice between blaming this on political rhetoric and blaming this on mental illness is a false dichotomy. Yes, it seems extremely likely that the shooter is mentally ill. I don't have enough information to know if he is so ill that he is not criminally responsible for what he did, but it would be ludicrous to suggest that his mental state did not play a part in this tragedy.
At the same time, mental illness occurs in a context. The delusions
This man's delusions apparently centered around illiteracy, mind control, the constitution and the government. Did he ever see Sarah Palin's graphic or listen to Sharon Angler speak? I have no idea. Did he hear the negative tone of current discourse about the government? Almost certainly. That is the context of our culture.
That having been said, that doesn't mean that toning down the rhetoric would have prevented this particular person from killing people. It might have prevented him from killing these particular people on this day. And maybe it would have held off the violence for long enough for someone to recognize that he really needed help. We don't know. We can't know. And we don't like that.
What do I take from all this? As they say, the best we can do is the best we can do. And whether you blame rhetoric or illness or both for this situation, it's clear we can do better with both. Talking about armed rebellion and resistance with regards to public figures is not OK, whether it caused this or not. It adds to a culture that devalues those with whom we disagree, and that can't be good for us, with or without this instance. And there are hundreds or thousands of severely mentally ill people who don't get decent help and, as in this case, sometimes don't even get noticed, because of the stigma associated with their disorders and the devaluing of its treatment in our society. That isn't just bad for them. As we learned this week, it's bad for everyone. We can do better.
And if I'm wrong, and neither of these things are at fault, and I'm just seeing patterns where there aren't any, I think our society will benefit from fixing them anyway. It's certainly worth a try.
Tomorrow: What pulled at our heartstrings in the Tucson coverage, and why
Saturday, January 8, 2011
Rep. Gabrielle Giffords Shot, U.S. District Court Judge John Roll Killed
You don't have to be a fan of Speaker John Boehner to appreciate that he got it exactly right today when he reacted to the attack on Congresswoman Gabrielle Giffords in which six others, including U.S. District Court Judge John Roll and a child, were killed and Giffords was critically wounded.
An attack on one who serves is an attack on all who serve.Eighteen additional people were injured in the shooting, which occurred outside a grocery store in Tucson during a public event hosted by Giffords. The alleged shooter is a 22-year-old man who, in various social media, talks about himself as the "mind controller" and lists Mein Kampf
I'm not from Arizona and, like many Americans, I knew nothing about Rep. Giffords before today's attack. Yet the story grabbed my -- and the country's -- attention almost instantly. If it were just me we could chalk it up to the subject matter of my blog. After all, my family no longer says, "Did you hear this horrible news?" when something bad happens. They say, "Do you need a blog topic?" But it isn't just me. As I write this than four and a half hours after the shooting, Google News is listing nearly 4,000 news articles online about this event.
To me, this raises two questions of the sort where you think you know the answer until you try to articulate it. The first is, why do we care about the shooting of someone we've never heard of? The second is, if we have a reason to care, why do we focus on the fact that Rep. Giffords was shot and not on the death of another public servant, Judge Roll?
The answer to the first question, I think, goes back to Speaker Boehner's remarks. Understandably, he feels a personal connection when someone targets a member of Congress. By the same token, we as citizens feel a personal connection because, as the title suggests, congressional representatives represent us. They are our voice in government, whether we love them or hate them. When someone attacks a member of Congress, we know on a gut level that they are attacking the people that person represents, or at least the people who voted for them. Whether we ever heard of Gabby Giffords before today or not, the position she holds makes us assign particular and personal significance to her shooting, what it means to us as individuals, and what it means to our system of government.
That having been said, what about Judge Roll? He was a public servant. His job was to ensure equal and fair protection of the law for all. He had received death threats over a recent immigration case, and surely we should worry for our system of government if judges cannot rule without worrying about their lives. Why aren't we focused on him?
I think there are a couple of reasons. First of all, eyewitness accounts seem to indicate that Giffords was the first one shot and the original intended target. In the chaos that followed, she was the only person shot whom everyone knew had been shot. The news of Judge Roll's death came several hours later, and the story had already been "branded" as being about Giffords.
Still, I suspect that even if Roll had been the target and Giffords had not been there, this would not be as big of a news story. And I think that's largely because your average person on the street doesn't have a very clear idea of what a District Court judge does. We understand judges in general, and we understand Supreme Court justices, but we don't have a good mental image of the importance of mid-level federal judges and their day-to-day impact. We also don't elect federal judges, so we don't feel the connection that we do to members of Congress. No one out there is thinking, "I know who John Roll is. He's my judge."
Intellectually, I think that we should care very much about the assassination of Judge Roll, at least as much as the attempted assassination of Rep. Giffords. But reactions to traumatic events are not about what we think, they're about what we feel in that fleeting moment before our thinking brain takes over. So my gut is focused on Rep. Giffords and her family. My brain, and the heart that sometimes follows it, also expresses horror and condolences to the family of Judge Roll and the other five people who died in Tucson today.
Tuesday, August 3, 2010
Plenty of Trauma to Go Around in Manchester Warehouse Shootings
This story is not nearly as clean as that storyline would appear, however. The driver had just been in a disciplinary hearing in which he was shown a video allegedly depicting him stealing from a company truck. He was given the choice to resign or be fired, and he chose to resign. He began shooting essentially as soon as the meeting was over.
As if that weren't complicating enough, the shooter was allegedly being harassed by coworkers because of his race. He was one of two African-American employees, and his family says he showed them pictures of racial epithets and a stick figure being hung by a noose, taken in the company restroom. He also reported being referred to by the "N word." After he shot the other employees but before he killed himself, he reportedly called his mother and told her "I shot the five racists." Then he shot himself.
This situation is messy on many levels, and messy situations have a lot of impact and need a careful response. In this instance, I imagine the following groups need support:
- the survivors, who have experienced believing they were going to die
- the families of the dead, who have lost a loved one violently and suddenly
- the families of the survivors, who will have lasting fears for their loved ones' safety
- the family of the gunman, who must come to terms with what he did and grapple with the two disparate versions -- that he was being fired for misconduct and/or that he was the victim of racial harassment
- the administration of the company, who have lost employees "on their watch" and may feel guilt, either because they fired the gunman or because they didn't respond appropriately to harassment complaints
- the union, which would have represented him in the meeting this morning and which may have had harassment reported to them
- anyone who actually harassed the gunman, who may now feel responsible (or may now feel his actions prove them "right" in their racism)
Add to this the fact that there are likely to be one or more lawsuits flying in various directions, and everyone knows it. This means that anyone who feels guilty -- whether it's their fault or not -- is going to be pretty uncomfortable talking about those feelings for fear that what they say winds up in court.
I hope this workplace has access to a good crisis response team of some kind. I hope that team has an excellent coordinator. They're going to need to assign people carefully and make sure they have enough to cover all the bases, because no one in this situation is going to be able to support more than one group, and in some cases perhaps only one individual. They sure have their work cut out for them.
Topics:
blame,
CISM team,
Connecticut,
guilt,
Hartford Distributors,
mass murder,
racism,
suicide,
survivors,
workplace violence
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comments
Thursday, June 3, 2010
The British Perspective on Mass Shooting
A 52-year-old taxi driver in Cumbria, England
This is a horrible incident in any country. A lot of the questions being raised in the British press are the same ones we would expect if this happened in the United States: Were there warning signs missed? Why did it take police so long to catch him? As is natural after an incident like this, people are searching for someone to blame, because they need some way to reassure themselves that this sort of violence can be stopped. Who knows, maybe this could have been.
One question that is coming up rather prominently is a little different than you would expect in the United States, however. How did he get the guns? The United Kingdom has notoriously strict gun control laws
I heard an interview on NPR yesterday with a local journalist about the question of where the guns came from. Towards the end of the interview, the questions turned to the provenance of the guns. She said that police would be investigating whether the shooter was licensed to have a gun, and that "if he wasn't, that will be very bad."
Can you imagine someone saying that in the United States -- that it would be very bad to learn that a shooter didn't have a permit for a gun? I doubt it. We are used to the idea that people who are not supposed to have firearms have them anyway.
When this journalist says that finding out the shooter didn't have a permit would be "very bad," she's not talking about it being bad for the police or the government. She's not talking about it looking bad. What she's saying is that finding out that this man could get a gun illegally would mean that others can get them too. That would be dangerous, and it would represent a complete shift in how Britons think about gun violence in their country
We all live with the knowledge that we are in a certain amount of danger. If you live in a war zone, you make your peace somehow with that so you can sleep at night. If you live in the United States in a relatively quiet town, the amount of danger you have to make your peace with is much less, but it's not zero. If you live in Cumbria, England, there are various ways you could be subjected to violence or sudden injury or death, but being shot, until yesterday, was not something you had to worry about a whole lot. Today, they're very worried.
The good news, such as it is, is that it turns out the shooter did indeed have a license for his guns. On the one hand, that means that a potential mass murderer was licensed, which increases the calculation of the odds that someone else is out there, licensed and ready to crack. On the other hand, it also means that there isn't a hole in the wall keeping guns out of everybody's hands, and so maybe the people of Cumbria, at some point, will be able to return to not worrying about it quite so much.
Monday, November 30, 2009
What if You Survived the Lakewood Police Shootings?
By now you've probably heard about the murder of four uniformed Lakewood, Washington police officers in a coffee shop yesterday morning. There seems to be no doubt that the victims were targeted because they were police officers. Police have a suspect and have been trying to find him in a series of very visible but unsuccessful attempts today.
A lot has been, will be, and should be written about these courageous men and women and their surviving families, including nine children. The spontaneous outpouring of grief and support is amazing. The owner of the coffee shop chain where the shootings occurred is an ex-cop himself, and he said yesterday that since his employees were unhurt he was mostly concerned for the families. Who can blame him?
But the fact of the matter is that there were a handful of other people in the coffee shop when the shootings occurred yesterday -- both staff and patrons. Police have said that it took some time to get full statements from them because it was so hard for them to describe what they saw right away. Who can blame them, either?
It is not uncommon for survivors of shootings, particularly shootings in which multiple people are killed, to feel survivor's guilt. They wonder why they lived when others died. They feel that if only they had done more, they might have saved others. Most often, they find some solace in the knowledge that everyone there was a target, and had they done anything different they might well be among the dead.
This situation is a little different. The other patrons were not, in fact, targets themselves. It seems pretty clear that the gunman was looking to shoot cops. It is not as simple as realizing that they had to save themselves. But in fact, they did have to save themselves. While they may not have been targets to begin with, had they confronted the gunman they undoubtedly would have become targets.
When all is said and done, however, four police officers are dead in a highly publicized and sensational shooting that is making the national news, and the only people in any kind of position to stop it, one might argue, were the staff and other patrons. While we all know that we don't blame them and we don't think they could have stopped this, that probably isn't how they are feeling. That kind of guilt can lead to isolating oneself, and that's a very bad thing to do after a traumatic incident.
Add to this the wrinkle that the gunman is still out there. The survivors have to be concerned, at least on a gut level, for their own safety. They are witnesses, and he clearly doesn't care much about human life. It has to be hard to get up and go out in public under these circumstances.
Most police departments have supports in place for families of officers killed in the line of duty and also for other officers and their families who understandably have renewed fears for other officers' safety. Fewer communities are really set up to support the civilian survivors of an incident like this. This is a time when a community-based CISM team is critical. I hope there is one out there, or that someone asks for one on those people's behalf. They need our support, too.
Update: The suspect in these murders was shot and killed by police on December 1. Hopefully, that will alleviate some small amount of the stress the survivors are experiencing.
Sunday, November 15, 2009
Goodbye to the D.C. Sniper
The adult half of the team of criminals known as the "D.C. Sniper" or the "Beltway Sniper" was executed by the Commonwealth of Virginia this week. His accomplice, who was 17 at the time of the murders, was ineligible for the death penalty and is serving a life sentence. From a specially fitted car trunk, they sited a rifle and shot 10 people in 17 days throughout the Washington, DC area. Their victims were chosen at random as they walked through parking lots, pumped gas, or otherwise went about the mundane business of day-to-day life. The entire Washington area was captivated and terrified. The rest of the country was pretty scared too. Prosecutors claimed it was all part of a scheme to terrorize the country and extort money from the government, although something I read recently said it was actually an unfinished plot to kill one of the sniper's ex-wives and mask the fact that she was the one real target.
Whatever the reason, for 17 days in 2002 people were afraid to go about their normal business. Soon, we were all -- even those of us who didn't live anywhere near Washington -- on the look out for a white utility van. I had never realized how ubiquitous white utility vans are until these murders happened, and every deliver truck made me jump. And of course, it turns out the shooters didn't even have a white utility van -- it's just that there was one at almost every murder scene because these vans are everywhere.
Then, as quickly as the shooting started, it stopped. Two suspects were under arrest, and our attention turned from our own safety to questioning why on earth anyone would do this and what could have or should have been done to stop them. That is the news cycle of a serial killer or a mass murder -- we fear, we capture, we wonder, we blame. We see it happening now with the alleged shooter at Fort Hood. Most of us aren't scared anymore, but we are at best curious and at worst really, truly angry.
And yet, something bothers me about this case and about this natural news cycle we seem to go through again and again. These cases scare us because they point out that our lives are always somewhat precarious. We go through our day with the assumption that the person next door, or next to us in line, or in the next car, is not a homicidal maniac. We do what we can to avoid obvious perils, but we can't avoid the danger posed by the truly imbalanced and determined killer, who could strike at any time. We just ignore it.
Then a string of murders or a single mass murder happens, and we realize how much at the mercy of these people we truly are. We realize that when we get into an elevator with someone we don't know, we're trusting that he or she isn't going in there with the idea of killing us. We realize that we pump our gas on the presumption that no one has a sniper rifle aimed at us. So we're scared. Then they catch whoever it was this time, and we breathe a sigh of relief. Now the crazy person is no longer out there in circulation. We can go back to normal.
Here's the thing, though. If we really thought it through, we might realize that in fact there is nothing truly preventing someone else from doing exactly what the killer did. The day after the snipers were caught, it wasn't any harder to be a sniper in the D.C. area than it was the day before. And the day after the snipers were caught, the odds of someone doing what they did were exactly the same as we believed they were the day before they started shooting. So either we ought to be terrified all the time, or we ought to be relatively calm all the time. The only thing that really changes is how much the danger has come to our attention.
During the D.C. Sniper killings, mystery author Patricia Cornwell wrote in the New York Times (in a piece they reran on their website this week) about the fear caused by serial killers. She wrote of a question she asked the mother of the victim of a serial killer in Louisiana:
We live in a world of terrorist cells, or serial killers, of spree snipers, and as hard as we try, we can't seem to catch them. What can we do? "Get involved," she answered. "People should notice a strange car or truck or person in their neighborhood. People need to be neighbors again and care for each other. You can't hole up in a house and not get dressed and not go out."
This was good advice in 2002, and it still is.
Monday, November 9, 2009
The Children of Fort Hood
As everyone knows by now, 13 people died and 30 were injured in a mass shooting at Fort Hood last Thursday. There has been a lot of focus, quite appropriately, on the people who died and on their families. There has also been some given to those who were wounded, some quite critically. And of course there has been an inordinate amount of speculation about the alleged shooter, who, reports say, is now awake and talking in the hospital.
It is impossible to predict how any individual person will be affected by Thursday's events. Some who you might expect to be very emotionally impacted will bounce back quickly, and some who seem to be on the periphery of the incident may be profoundly affected. As the CISM personnel work to triage those traumatized by the shooting -- those who lost a loved one, those who were shot, those who knew the shooter, those who witnessed the shooting, etc. -- there is one group that is probably giving them a little pause: the children.
To my knowledge there were no children present when the shooting started on Thursday. That means no children saw the scenes of violence first hand. But that in no way means that the children at Fort Hood aren't impacted, and they are going to need a lot of support. But we all know intuitively that helping children through these moments is different than helping adults, and few early crisis interventionists have any training at all in working with kids.
CNN reports that officials at Fort Hood have called in child psychologists as well as disaster management experts. That means the impact here is big -- bigger than what their town of 60,000 can handle on their own. It is a disaster, just as surely as a building collapse in a large-ish town that killed 13 and injured 30 would be, only probably worse, or at least different, for the families.
So why are the children impacted? There are numerous factors. First, these kids were on lockdown for several hours on Thursday. During that time, they did not know what was going on, where their parents were, if anyone in their family had been injured, or when they would see them again. If they looked out the window they saw what amounted to a live military operation going on outside of their schools, and for all they knew the "bad guy" was coming for them next.
Some of these children, of course, lost a parent in the shooting or have a parent who was injured. If not, they almost certainly have a neighbor or friend who was impacted. They went to school on Thursday morning believing that they were OK in school and their parents were OK at work, and came home knowing that very well might not be true at any given moment.
I've often said that trauma violates our world view. For these kids, that is doubly true. All of us need to believe that the world is generally a safe place, and this incident took away that belief from these children. But it also took away something else. It took away their visceral understanding that soldiers -- parents -- who are stateside are safe, and that danger lies in the war zone. A big part of how they can cope with having parents who put themselves in harm's way for a living is by telling themselves that the fact that they come home means they are OK. Now, 13 people who were stateside, who were home, are not coming home any more.
So what do we do for these kids? That depends, of course, on what they need. I suspect the days, weeks and months ahead will hold a lot of crayons and paper, a lot of tissues, and a lot of nightmares for some of these kids. Watching parents ship out is going to be really hard. Watching them come home is going to be surreal. So while we're honoring the dead and thanking our troops, particularly during Wednesday's Veteran's Day celebration, let's take a moment to remember their kids, and to thank them for all they give up in service to our country, too.
Saturday, November 7, 2009
Fort Hood: What Compassion Fatigue Is, and Isn't
As we all know by now, the alleged shooter in the Fort Hood massacre is a psychiatrist. There is a lot of speculation in the media right now that he suffered from "compassion fatigue," "vicarious traumatization," "secondary trauma" or "secondary PTSD." In many of these articles these terms are used interchangeably. The basic idea of all of these articles is that the shooter's treatment of people who had been traumatized caused his own traumatization. However, since virtually none of the reporters involved had ever heard of compassion fatigue before Thursday, there is a lot of oversimplification of the facts in the search for answers.
I have no first-hand information about whether this man suffered from compassion fatigue or anything else, and I (unlike both those who think he did and those who think this was religiously-motivated terrorism) am not going to speculate. We have absolutely no facts at all on which to base a diagnosis. What I do have, however, is some information about compassion fatigue that might be helpful at least in understanding what everyone is talking about.
There are two big risks that people who work with trauma victims face: burnout and compassion fatigue. Burnout is just what it sounds like, and just what it is in any line of work. It's the slow and steady deterioration of satisfaction with your job and your willingness and ability to do it well. It's what makes you not want to get up and go to work in the morning. Burnout can be associated with the stressfulness of the job, and listening to people's trauma is stressful. Among trauma interventionists, burnout manifests in not caring much about the stories you hear or the people who tell them, in not doing what you know needs to be done for them, and in quitting your job or volunteer position.
The second risk is compassion fatigue. Compassion fatigue, unlike burnout, usually comes on fast. A single story or a small set of them get to you in a serious way, and you start showing the same symptoms you would if you were exposed to a traumatic event: trouble sleeping, irritability, impaired judgment, appetite changes, nightmares, startling easily, etc. This is not the person who says, "Gee, I really don't feel like going to work today." This is the person who is afraid to get out of bed.
One of the most commonly used screening tools for burnout and compassion fatigue, as well as job satisfaction, in those who work with traumatized people, is the Professional Quality of Life Scale Compassion Satisfaction and Fatigue Subscales—Revision IV (Pro-QOL R-IV). Interestingly enough, when I went looking for a copy for reference for this post, I found it on the website for the Army Behavioral Health Provider Resiliency Training program.
Some of the questions on the Pro-QOL that relate specifically to compassion fatigue can help you understand what exactly it is:
- I jump or am startled by unexpected sounds
- I find it difficult to separate my personal life from my life as a helper
- I feel as though I am experiencing the trauma of someone I have helped
- I avoid certain activities or situations because they remind me of frightening experiences of the people I help
- As a result of my helping, I have intrusive, frightening thoughts
- I can't recall important parts of my work with trauma victims
Compassion fatigue and secondary PTSD are not synonymous. Post traumatic stress is a typical reaction of a normal person to an abnormal event. Post traumatic stress disorder is when it lasts, does not resolve, and interferes with functioning. Similarly, compassion fatigue is a normal hazard of the job. The vast majority of people who experience it get some support, back off their work for a while, and return to normal functioning.
So, could the shooter at Fort Hood have had secondary PTSD? Sure. Do we know that he did? No. And is it inevitable that someone in his position would be in that much trouble psychologically? Certainly not. Trauma is contagious, yes, but the contagion is also avoidable, given the right supports. What we don't know is whether this particular psychiatrist had those supports in place.
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Friday, November 6, 2009
No Easy Answers: The Why's and Wherefores of Fort Hood and Orlando
He had compassion fatigue. He was a Muslim. He had money problems. He was depressed. He was disgruntled. He didn't want to deploy. He was a terrorist. He was harassed. He faced discrimination. He hated his boss. He was turned down for unemployment. He blamed the company. He blamed the army. He should have been stopped.
Today, as America reels from the second mass shooting in as many days, the blogosphere and the traditional media are lighting up with commentary on why the shooters in the Fort Hood and Orlando killings did what they did. If you google the stories, you find headline after headline with various speculation about motive, interspersed with the occasional article referring to the motives in each shooting as a "mystery."
Human beings don't like uncertainty, as I discussed yesterday. And the media doesn't like to report anything nuanced, and certainly not "we don't know." Where's the human interest in that? So we look for answers, and sometimes the answers we come up with sound good . . . until you think about them.
The shooter at Fort Hood is a psychiatrist. He had treated many people who suffer from Post Traumatic Stress Disorder. Now there is speculation that this experience caused him to be traumatized himself, and in turn caused yesterday's shootings. No sooner had that theory hit the airwaves then we had articles arguing the opposite -- that PTSD is not contagious, and we are just making excuses.
The truth is, PTSD is indeed contagious, in a documented phenomenon called "compassion fatigue" or sometimes secondary or vicarious traumatization. People who work with the traumatized are susceptible to symptoms of trauma themselves -- this is a documented phenomenon and there are documented ways to try to prevent it. But as much as compassion fatigue is a real thing, most people who have it don't shoot people. Saying that is the cause is much too simplistic.
The shooter is also Muslim, true. And yet, most people who are Muslim don't shoot people either. And if mass shootings are caused by being Muslim, how do we account for the Orlando shooter, who certainly wasn't, or the perpetrator in the Pittsburgh gym shootings, or at Virginia Tech, or Columbine? Why is the Fort Hood shooting "terrorism" and those are horrible violent crime?
In Orlando, the shooter almost certainly was a disgruntled former employee with money problems. This is all true. But how many thousands of people fit that description, and never hurt a fly? How many hurt themselves but not others? How do you know who is who and which is which. Unfortunately, you don't.
There is a lot of commentary today suggesting that we as a country are hesitant to admit the "truth" about Fort Hood, and I think they are right. But that truth isn't that the shooter was a Muslim terrorist. That truth is that we just don't know. We may someday, or we may not. And if we don't know, we can't know it won't happen again, and that scares us.
We want to think that if we exclude certain ethnicities or nationalities or religions from our lives, we will prevent the next shooting from happening to us. We want to believe that if we know the Fort Hood shooter was a terrorist, we can protect ourselves by staying away from terrorists. But in Orlando, we discovered that that isn't true either. And that scares us more, so we pretend there's no inconsistency there, no nuance. It seems we'd rather live with our bigotry in this country than with our fear of what is random.
Thursday, November 5, 2009
Fort Hood: The Waiting is the Hardest Part
At least 12 people are dead and at least 31 injured in a shooting or shootings at Fort Hood, Texas this afternoon. One gunman, a soldier, is dead. Two others are in custody. By the time you read this -- indeed, by the time I finish writing it -- all of that information may turn out to be wrong. As the press says, this is a "breaking news story."
The shooting occurred almost two hours ago, but we still don't know what happened. Fort Hood, is on lockdown, or at least it was within the last half hour. So are the neighboring schools. Reports differ on how many gunmen there were and whether they are all accounted for. News like this, where the details are coming out piecemeal and the information is changing, are both extremely scary and also extremely hard to tear oneself away from.
This story is compelling for lots of reasons -- a lot of people are dead, the possibility of terrorism is on our minds, the dead are possibly servicemen and women who we presume to be safe before they are stateside. The fact that it's changing means that we don't want to turn off the news, because we want to know what happened and we aren't sure that we do. We have one set of facts now, and we might miss the next change if we break away. We want to understand.
The constantly changing nature of the story also adds to what is so traumatizing about an incident like this. Instead of hearing the news and reacting to it, we go through a seemingly infinite series of exposures. We hear the story, we experience the trauma or secondary trauma of it, and then new facts are announced and we experience it again.
This phenomenon was painfully obvious to me this afternoon as I drove with my daughter. When we got in the car I explained to her that there had been a shooting at a military base and a lot of people were dead, and that the news would be talking about it. At that time, the number of known dead was 7 with 20 injured, but I didn't tell her that. When the headlines came on, they announced that 12 people were dead and 31 injured, and I involuntarily winced. My daughter, on the other hand, was completely unphased. I was reacting to the new information, but for her the information hadn't really changed. I was traumatized again -- she wasn't.
Aside from that increase in the numbers, the most poignant and compelling part of this story thus far for me came in an offhand sentence in coverage by USA Today:
A spokeswoman for the City of Killeen, where the base is located, tells USA TODAY's Donna Leinwand the Army is "asking for EMTs because it's a mass casualty event."The term "mass casualty event" isn't one you hear in the newspaper a lot. If you work in emergency services or in crisis response, on the other hand, it is a term that has a lot of emotional charge. We talk about car accidents as having "multiple fatalities." Mass casualty events are huge. 9-11 was a mass casualty event, and even though this clearly has none of that scope, the seriousness of that kind of incident is invoked by using that term.
Another way to look at it is this: There are roughly 60,000 people at Fort Hood, and they have their own police, fire and ambulance service. Imagine what would have to happen in a town of 60,000 -- roughly the size of St. Cloud, Minnesota -- to completely overwhelm their ambulance service. It's bad.
This event will actually become less traumatic for everyone -- people there and people hearing about it on the news -- the minute the information stops changing. It may even feel anticlimactic. And then the real work begins.
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Meet the Quarterback
- Naomi Zikmund-Fisher
- is a clinical social worker, former school Principal and a Crisis Consultant for schools and community organizations. You can learn more about her at www.SchoolCrisisConsultant.com
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